JACKSON SURGICAL GROUP PA
NPI 1861674723
Surgery in Jackson, MS

Active since December 03, 2007
1190 N STATE ST, SUITE L01, JACKSON, MS 39202(601) 292-4292 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Surgical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON SURGICAL GROUP PA (NPI 1861674723) is a healthcare organization registered as a surgery in Jackson, Mississippi and active in the NPI registry since December 2007. The organization lists Austin Frederick Parker, General Surgeon, as its authorized official.

NPPES Registry Identity

NPI1861674723
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJACKSON SURGICAL GROUP PA
Location Address1190 N STATE ST, SUITE L01Jackson, MS 39202-2413
Mailing Address1600 N State St, Suite 400Jackson, MS 39202-1689 · (601) 944-1717 · Fax (601) 944-9780
Organization SubpartNo
Authorized OfficialAustin Frederick ParkerGeneral Surgeon · (601) 946-2200
Enumeration DateDecember 3, 2007
Last NPPES UpdateApril 25, 2014
NPI 1861674723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MS · 06450
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1190 N STATE ST, Jackson, MS 39202

Other Identifiers 2

Medicare PINC00619MS
Medicaid09013125MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
1190 N STATE ST, STE 102
JACKSON, MS 39202
Physical Medicine & Rehabilitation (Pain Medicine)
1190 N STATE ST, SUITE 202
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Surgery
1190 N STATE ST, STE 502
JACKSON, MS 39202
Pain Medicine (Pain Medicine)
1190 N STATE ST, SUITE 300
JACKSON, MS 39202
Ophthalmology
1190 N STATE ST, STE 403
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Social Worker (Clinical)
1190 N STATE ST, SUITE 301
JACKSON, MS 39202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Surgical Group PA's NPI number?

The NPI number for Jackson Surgical Group PA is 1861674723. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Jackson Surgical Group PA located?

Jackson Surgical Group PA is located at 1190 N State St Suite L01, Jackson, MS 39202. The listed phone number is (601) 292-4292.

What is Jackson Surgical Group PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Jackson Surgical Group PA was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.